About the course

This course is for midwives, birth attendants and doulas, attending physiological birth at home or in low-resource settings. Whether you’re just starting out or deepening your practice, you’ll learn practical responses to real-life situations when mother or baby may need attention.



A course grounded in traditional midwifery, modern first aid, and deep reverence for physiological birth.


A non-judgemental, home birth–friendly learning space for birthkeepers from around the world to come together, share wisdom, and prepare for the unexpected.


Gain practical tools, deepen your confidence, and learn to respond with calm and care when mother or baby need attention.



Hello and Welcome!

My name is Ruth Ehrhardt and I am a mother, traditional midwife, and birth attendant from South Africa.

A little bit about me and the BIRTH FIRST AID COURSE:

My experience with dealing with emergency situations comes from growing up on a farm where we had no electricity or hot water, were far from anything (an hour’s drive from the nearest town on a very bumpy dirt road), and had to learn to make a plan in all sorts of situations. 

My experience with Birth First Aid comes from attending births at home, which, mostly, were smooth and went well but I have had to learn to think quickly on my feet when a baby has struggled to breathe, a mother has lost more blood than she should, or a baby has gotten stuck at the shoulders whilst being born. 

I am also a facilitator and Master trainer of Helping Babies Breathe and Helping Mothers Survive – two modalities for supporting mothers and babies at births in low resourced settings. I spent some years volunteering for Operation Smile’s Education Missions in African hospitals teaching these two courses.

This course has developed from these different experiences as well as the wonderful midwives, doctors, doulas, birth attendants, birthkeepers and of course, the mothers, babies and families who have been my teachers on this path.


Course Format & Flow

📅 Live Zoom Call Schedule


We will gather live on Zoom for six group calls to deepen our learning, share experiences, ask questions, and explore demonstrations together.

🕚 All sessions take place from 11:00 – 14:00 SAST (South African Standard Time).


You can check your time zone here for the first session on 3 March 2026.




Get a taste for the video presentations in this course


WHAT WE WILL COVER IN THE COURSE:


Helping Babies Breathe and Helping Mothers Survive philosophy

Creating and maintaining the basic needs of the mother and baby in an emergency situation

How to create an emergency care plan (without it causing too much adrenaline!) and support transfer to the hospital

Helping babies who are struggling to breathe at birth

Dealing with more than normal blood loss after birth

Preventing and dealing with shoulder dystocia

Cord Issues

Surprise breech

Herbs and homeopathy to support the above 

Storytelling, sharing, and learning from one another’s experiences

Our own recovery (mental, emotional, and physical) 

Creating a support network

Death, loss and Disability



The course is free birth supportive and friendly and open to

ANYONE attending births at home in ANY capacity.


The course is a popular and a rich learning space for the diverse groups of people who have attended the workshops.

📍 Course Call Dates


Session 1 – Tue 3 March 2026 – Opening Call & Preparation for Birth

  • Orientation and introductions to the course and facilitators
  • Getting to know one another
  • How to be prepared for birth & appropriate planning
  • Understanding birth physiology & realms of normal vs pathology
  • The foundation and importance of protecting and guarding birth
  • Basic skills and tools

Session 3 – Tue 17 March 2026 – Supporting Newborn Transition After Birth (continued) & Bleeding After Birth – what is normal and when do we step in?

  • Continue with newborn transition support
  • Introduction to bleeding after birth
  • When bleeding is normal vs when intervention is needed
  • Stories, examples, and questions
  • Demonstrations if required during the live session (most demonstrations available in learning platform videos)

Session 4 – Tue 24 March 2026 – Bleeding After Birth (continued) & Introduction to Shoulder Dystocia, Cord Issues, and Surprise Breech

  • Continue with bleeding after birth
  • Introduction to shoulder dystocia, cord issues, and surprise breech
  • Stories, examples, and questions
  • Demonstrations if required during the live session (most demonstrations available in learning platform videos)
  • Session 5 – Tue 31 March 2026 – Consolidating Birth First Aid
  • Opportunity to consolidate course content
  • Sharing stories and examples
  • Questions and group reflections
  • Demonstrations if required during the live session (most demonstrations available in learning platform videos

Session 6 – Tue 28 July 2026 – Closing Call
Final gathering to discuss, share, and answer questions

  • Reflection on learning journey
  • Course officially closes after this session




This schedule serves as a guideline. We will follow it as closely as possible, while also allowing space for what naturally arises in our group process. This course unfolds with and for the people in it.




What's Included?


Pre-recorded video sessions

Real-life birth scenarios and demonstrations

Downloadable PDFs

Access to replays and course content for 5 months

Lifelong access to resource folder

Optional reflection questions and journal prompts

Community comment section and support







Example Curriculum


Get a sense of what we will be exploring together over the 4 months together:

  MODULE 1 / Section 1: Introduction and Orientation to Birth First Aid
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  Module 1 / Section 2: Resources, Questions to Ponder and our Zoom calls
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  MODULE 2 / Section 1: Foundations of Birth First Aid
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  Module 2 / Section 2: Undisturbed Birth Physiology
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  Module 2 / Section 3: Resources, Questions to Ponder and Zoom calls
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  MODULE 3: Helping Babies who are Struggling to Breathe
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  Module 3: Resources, Questions to Ponder and Zoom calls
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  MODULE 4: Supporting Mothers with Blood Loss
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  Module 4: Resources, Questions to Ponder and Zoom calls
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  MODULE 5: Shoulder Dystocia, Cord issues and Surprise Breech
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  Shoulder Dystocia
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  Cord Issues
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  Surprise Breech
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  Making the Call to Transfer
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  Module 5: Resources, Questions to Ponder and Zoom calls
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  Module 6: Holding Space for Others and Ourselves
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  Closing and Takeaways
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💸Pricing Options:


We offer enrolment in four different currencies, best serving the communities who attend our courses.


You can choose from US dollar, Euro, Great British Pounds and South African Rands.


You can choose between a once off payment for the course, or take advantage of our payment plans.


As always in the True Midwifery learning space, we remain committed to upholding the component of equality and accessibility by ensuring a sliding scale of costs for the courses, as well as making scholarships available to those who need it.


EARLY BIRD, PAYMENT PLANS, GROUP DISCOUNTS and DISCOUNTS FOR PREVIOUS STUDENTS

ENROLLMENT CLOSES 2 March 2026



PAYMENT OPTIONS








PAYMENT PLAN OPTIONS


Birth First Aid testimonial

Student midwife Beth shares her experience of attending the Birth First Aid course